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About tryp

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    Bawk Bawk Therapy Cranes!

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    sleep, sanity, cats, trashy television, psychopharmacology

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  1. When I was on it, I used to get my cholesterol and blood sugar checked approximately every 6 months. If you are on it, you should be getting bloodwork to check your cholesterol and blood sugar. I was on it for about four years and didn't get diabetes. I did gain weight. The best way to not get diabetes is to exercise, eat healthy, and keep an eye on things. If there are issues with your blood sugar you can always stop the medication and if you are being monitored appropriately, you'll catch it early.
  2. Of the SSRIs, fluvoxamine is typically the most sedating. Citalopram and escitalopram are also on the more sedating end. Of the non-SSRIs, mirtazapine is very calming - and you may tolerate it better at lower doses. Trazodone is also sedating though it is rarely used as an antidepressant these days - it’s mostly used at lower doses for sleep The tricyclics (like amitriptyline) tend to be quite sedating but can also be more side effect heavy. If you haven’t tried it you could also look into pregabalin - it’s first line for generalized anxiety these days. It won’t do anything for depression but people find it quite calming typically.
  3. It has very limited utility - zero utility in terms of efficacy. However specifically in people who get tons of side effects from everything, or for whom nothing works, it can be useful to try to figure out if different dosing can solve those problems. For the general population it’s not really worth it. I considered getting it because I get side effects from everything but I never got around to it.
  4. It’s hard. I’ve suspected OCD for years but just got the diagnosis formally confirmed this year. I struggle mostly with obsessions and the only things that really work for me are obsessional flooding (purposely thinking about it really really hard until my brain gets bored) or conversely radical acceptance and allowing the obsession to pass while continuing to go about my normal business. My compulsions are mainly checking related and mental compulsions. If I really wanted to work on them it would have to be from an ERP lens but I’m not really interested right now. And some of them, like repeating words over and over again, aren’t really that amenable to ERP anyway.
  5. Benzos always made my depression far worse - which is pharmacologically expected given their mechanism of action. I guess what we call depression is probably a heterogeneous group of things.
  6. I have a few. Radical acceptance is a great skill - I don't know if I would say favourite, because it's so difficult and painful, I struggle with it, but it definitely brings a new perspective. For me, willingness/effectively go along with radical acceptance, and those are also useful to me. I use half smile/willing hands a lot throughout the day. Probably my favourite skill in a pinch is IMPROVE - simple, soothing, and you can do it anywhere.
  7. That is a useful reassurance - they for sure can. Trauma is actually highly associated with psychosis.
  8. I’m glad that you get to talk to her - and I hope it helps. I find sometimes it’s helpful to take the time to try to tease out how I feel - but it is hard.
  9. Inside problems are really hard - I don't know what yours are like, but I have my own and it feels very...fragmenting, and difficult to talk about/get support around/sort through. I don't have amnesia either but I definitely have DDNOS. I go through a lot of self-doubting about it - I don't know. It's all very confusing, especially when psychosis gets involved. I'm glad you texted your therapist
  10. Do you know what it is that’s overwhelming? Inside things? Outside things? I guess different tdocs have different boundaries about weekends - depends on yours I guess.
  11. tryp

    I'm back!

    I'm probably never leaving this place lol. A couple months ago was my 10 year anniversary here now that I think of it - I've been here since 2008.
  12. I'm glad you're feeling better Sometimes reading about dissociation/trauma can really activate things inside - I know it does for me.
  13. tryp

    I'm back!

    Hey, you! I've missed you! Welcome back
  14. Yeah, people can pop a little bit of a white count for all kinds of reasons - typically it means you're fighting off a bit of an infection or something.